MARTY M POWELL DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019019910

License Status

NOT RENEWED

Business

First Name

MARTY M

Last Name

POWELL

Suffix

DDS

Business Name

MARTY M POWELL DDS

Original Issue Date

10/22/1985

Effective Date

10/22/1985

Expiration Date

09/30/1992

City

DETROIT

State

Zip

48228

County

MICHIGAN

Ever Disciplined

LastModifiedDate

10/12/2005